Provider Demographics
NPI:1841361136
Name:GAMBRELL, BETH B (RPH)
Entity type:Individual
Prefix:MRS
First Name:BETH
Middle Name:B
Last Name:GAMBRELL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 BROADWING DR
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1753
Mailing Address - Country:US
Mailing Address - Phone:972-727-7011
Mailing Address - Fax:800-874-9179
Practice Address - Street 1:7164 TECHNOLOGY DR STE 100
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-2095
Practice Address - Country:US
Practice Address - Phone:214-387-3500
Practice Address - Fax:800-874-9179
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33747183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist